Home Phone Number
REQUIREDPlease fill out this field.Please enter a phone number.

Email
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Previous Parish
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Head of Household

First Name
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Last Name
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Maiden Name (if applicable)
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Date of Birth
REQUIREDPlease fill out this field.Please enter a date.

Marital Status

Occupation
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Religion
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Sacraments Received

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BaptismFirst CommunionConfirmationMarriage

Church of Baptism
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City and State of Baptism
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Date of Marriage (if applicable)
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Spouse (if any)

First Name
REQUIREDPlease fill out this field.Please enter valid data.

Last Name
REQUIREDPlease fill out this field.Please enter valid data.

Maiden Name (if applicable)
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Date of Birth
REQUIREDPlease fill out this field.Please enter a date.

Marital Status

Occupation
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Religion
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Sacraments Received

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BaptismFirst CommunionConfirmationMarriage

Church of Baptism
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City and State of Baptism
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Date of Marriage (if applicable)
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Total Children/Other Members
REQUIRED

Please include EACH family member.

Please fill out this field.

Child/Other Member 1

First Name
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Last Name
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Middle Name
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Birth Date
Please enter a date.

Relationship
ChildYoung AdultOther

Gender
MaleFemale

Religion
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Sacraments Received

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BaptismFirst CommunionConfirmationMarriage

Date of Baptism
Please enter a date.

Church of Baptism
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City and State of Baptism
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Child/Other Member 2

First Name
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Last Name
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Middle Name
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Birth Date
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Relationship
ChildYoung AdultOther

Gender
MaleFemale

Religion
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Sacraments Received

Check all that apply

BaptismFirst CommunionConfirmationMarriage

Date of Baptism
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Church of Baptism
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City and State of Baptism
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Child/Other Member 3

First Name
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Last Name
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Middle Name
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Birth Date
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Relationship
ChildYoung AdultOther

Gender
MaleFemale

Religion
Please enter valid data.

Sacraments Received

Check all that apply

BaptismFirst CommunionConfirmationMarriage

Date of Baptism
Please enter a date.

Church of Baptism
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City and State of Baptism
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Child/Other Member 4

First Name
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Last Name
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Middle Name
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Birth Date
Please enter a date.

Relationship
ChildYoung AdultOther

Gender
MaleFemale

Religion
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Sacraments Received

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BaptismFirst CommunionConfirmationMarriage

Date of Baptism
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Church of Baptism
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City and State of Baptism
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Child/Other Member 5

First Name
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Last Name
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Middle Name
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Birth Date
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Relationship
ChildYoung AdultOther

Gender
MaleFemale

Religion
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Sacraments Received

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BaptismFirst CommunionConfirmationMarriage

Date of Baptism
Please enter a date.

Church of Baptism
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City and State of Baptism
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Child/Other Member 6

First Name
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Last Name
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Middle Name
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Birth Date
Please enter a date.

Relationship
ChildYoung AdultOther

Gender
MaleFemale

Religion
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Sacraments Received

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BaptismFirst CommunionConfirmationMarriage

Date of Baptism
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Church of Baptism
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City and State of Baptism
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Child/Other Member 7

First Name
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Last Name
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Middle Name
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Birth Date
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Relationship
ChildYoung AdultOther

Gender
MaleFemale

Religion
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Sacraments Received

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BaptismFirst CommunionConfirmationMarriage

Date of Baptism
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Church of Baptism
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City and State of Baptism
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Child/Other Member 8

First Name
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Last Name
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Middle Name
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Birth Date
Please enter a date.

Relationship
ChildYoung AdultOther

Gender
MaleFemale

Religion
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Sacraments Received

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BaptismFirst CommunionConfirmationMarriage

Date of Baptism
Please enter a date.

Church of Baptism
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City and State of Baptism
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Offertory Commitment

As a parishioner who values our faith community, the programs we depend upon, and the liturgy we live by, I/we commit ourselves to the following offering in support of Saint Bernadette Church. For electronic donations, please see
Online Giving Instructions.

My/Our total annual offertory commitment in support of parish life at Saint Bernadette Church:
Please enter valid data.

In order to meet the needs of our parishioners and in response to many requests, we will begin accepting the following options of offertory support that might better meet your budgeting needs. Please indicate your contribution preferences below to receive envelopes:

To be contributed:
REQUIREDAnnually by Dec. 31stSemi-Annually by Dec. 31st and June 30thQuarterly (Dec., March, June, Sept.)MonthlyWeeklyPlease fill out this field.

Saint Bernadette Parish strives to embody the truth of the gospel of Jesus Christ as a prayerful, Eucharistic, Marian, and faith-filled community of believers.We are committed to teaching the Catholic faith with joy and open arms, for all are welcome in God's house. Welcome home!